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Organization
MAXICARE HEALTHCARE CONSULT
Active
Organization
MAXICARE HEALTHCARE CONSULT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOSIN OMOTOYOSI OLUNUGA (APN)
(973) 409-1406
Entity
Organization
Contact information
Practice address
151 ROUTE 10 E STE 101, SUCCASUNNA, NJ 07876-1452
(973) 409-1406
Mailing address
151 ROUTE 10 E STE 101, SUCCASUNNA, NJ 07876-1452
(973) 409-1406
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
12/29/2022
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